In 2017, Cerberus Capital Management, a private equity firm, acquired Easton Hospital, a facility located in Pennsylvania’s Lehigh Valley, north of Philadelphia. Shortly after acquiring the hospital, Cerberus, through its Steward Health Care subsidiary, sold the property (but not the hospital itself) to a real estate investment firm, Medical Properties Trust.
Easton Hospital’s property was packaged with seven other hospitals, which netted Cerberus $304 million. But now Easton Hospital had to pay rent to operate on the land it had owned for the last 127 years.
Although the precise details are not public, it’s also likely that Cerberus saddled Easton Hospital with much of the debt it used to acquire the hospital. Typically, a private equity buyout “includes debt financing in the range of 50 percent to 70 percent of the purchase price, which the acquisition, in this case Easton Hospital, is expected to repay.”
So, for the last few years, Easton Hospital was forced to divert a significant portion of its revenue to paying rent and the debt imposed on it by Cerberus. Not surprisingly, it’s financial condition worsened.
On March 22, as the pandemic shut down much of the nation and put a premium on hospital capacity, Cerberus sent a letter to Pennsylvania Governor Tom Wolf demanding the state assume “all operating expenses and liabilities of Easton Hospital” or the company would “proceed immediately on planning to close the facility.”